Koj puas tau mob nraub qaum txij li thaum koj tseem hluas? Puas yog nws yog ib qho mob txawv txawv uas tsis tu ncua, zoo li koj tus txha nqaj qaum ua los ntawm pob zeb thaum koj sawv thaum sawv ntxov, thiab zoo dua los ntawm kev tawm dag zog? Tej zaum koj tau sim ntau yam kev kho mob rau nws, tab sis tseem tsis tau paub meej tias nws yog dab tsi? Yog tias yog, tsab xov xwm no yuav tseem ceeb heev rau koj. Hnub no peb yuav tham txog Ankylosing Spondylitis, lossis luv luv AS.
Vim li cas AS thiaj nyuaj rau kuaj mob?
Hais yooj yim xwb, Ankylosing Spondylitis (AS) yog kev o ntawm cov pob qij txha ntawm tus txha nqaj qaum thiab lub duav. Muaj ntau yam laj thawj tseem ceeb uas ua rau nws nyuaj rau kuaj mob.
Thawj qhov yog tias cov tsos mob ntawm tus kab mob no tshwm sim qeeb heev . Koj tsis hnov qhov sib txawv loj tam sim ntawd. Qhov thib ob thiab qhov tseem ceeb tshaj plaws yog tias cov tsos mob tseem ceeb ntawm tus kab mob no yog mob nraub qaum . Tam sim no xav txog nws, mob nraub qaum ntau npaum li cas? Yog tias koj tsa ib yam dab tsi tsis raug, yog tias koj zaum ntev, yog tias koj pw tsis raug, koj nraub qaum tuaj yeem mob. Yog li, ntau tus neeg xav tias qhov no yog teeb meem nraub qaum ib txwm muaj.
Vim li no, kev tshawb fawb tau pom tias nws yuav siv sijhawm txog li 8 txog 10 xyoo txij li thaum ib tug neeg pib muaj cov tsos mob kom paub tias muaj AS. Txawm li cas los xij, kev kuaj pom tus kab mob thaum ntxov yog qhov tseem ceeb heev rau kev ua kom zoo tshaj plaws ntawm kev kho mob.
Yog li ntawd, tsis muaj ib qho kev kuaj mob twg uas tuaj yeem lees paub 100% "Kuv puas muaj AS?" ib zaug. Txawm li cas los xij, tus kws kho mob siv ntau yam kev kuaj mob los kuaj mob no, zoo li daws qhov teeb meem, kom xaus lus.
Tus kws kho mob siv cov kauj ruam twg los kuaj mob?
Thaum koj mus ntsib kws kho mob txog koj qhov mob nraub qaum, nws yuav ua raws li ob peb kauj ruam yog tias lawv xav tias muaj tus mob no.
1. Nug koj cov lus qhia thiab kuaj koj lub cev
Thawj qhov koj yuav ua yog nrog koj tham kom zoo zoo thiab nug txog koj cov tsos mob. Lawv yuav nug koj cov lus nug tob tob, tshwj xeeb tshaj yog txog koj qhov mob nraub qaum. Yog tias koj qhov mob nraub qaum phim tsawg kawg yog plaub yam ntawm cov yam ntxwv hauv qab no, koj tus kws kho mob yuav xav tias AS.
| Tus cwj pwm txawv txawv | Kev piav qhia |
|---|---|
| Hnub nyoog | Puas yog cov mob plab pib ua ntej hnub nyoog 35 xyoo? |
| Pib | Puas yog qhov mob maj mam nce ntxiv? |
| Lub Sijhawm | Puas tau muaj li no ntau tshaj peb lub hlis lawm? |
| Cov nyhuv ntawm kev tawm dag zog | Puas qhov mob txo qis thaum koj tawm dag zog lossis taug kev? |
| Sawv ntxov nruj | Thaum koj sawv ntxov, koj puas hnov koj nraub qaum txhav thiab nyuaj rau khoov li ib teev? |
Ntxiv mus, tus kws kho mob yuav nug seb puas muaj leej twg hauv koj tsev neeg tau muaj hom kab mob pob qij txha no. Qhov no yuav muaj kev sib txuas ntawm caj ces. Nws kuj tseem yuav xyuas seb koj tus txha nqaj qaum puas tawv thiab yoog tau. Nws yuav xyuas seb puas mob thaum koj nias rau ntawm koj tus txha nqaj qaum thiab lwm cov pob qij txha. Qee zaum, nws yuav xyuas seb koj lub hauv siab nthuav dav li cas (thaum koj ua pa).
2. Kev Kawm Txog Duab
Cov kev kuaj no yog cov uas thaij duab sab hauv lub cev. Cov no pab tau zoo heev rau kev kuaj mob.
- X-ray: Yog tias xav tias muaj AS, tus kws kho mob yuav xub xaj kom thaij X-ray ua ntej. Lub pob qij txha sacroiliac, qhov chaw uas tus txha nqaj qaum pib thiab txuas nrog pob txha ntawm lub duav, hu ua pob qij txha sacroiliac. Kev hloov pauv hauv pob qij txha no yog cov cim qhia meej tshaj plaws ntawm AS. Hmoov tsis zoo, cov kev hloov pauv no tsis pom tseeb ntawm X-ray kom txog thaum ob peb xyoos tom qab pib muaj cov tsos mob .
- CT Scan (Computerized Tomography Scan): Yog tias tsis pom dab tsi meej ntawm daim duab X-ray, tab sis tus kws kho mob xav tias muaj AS, nws yuav xa koj mus rau CT scan. Qhov no tuaj yeem tsim cov duab peb-seem (3D) uas ntxaws dua li daim duab X-ray.
- Kev Ntsuas MRI (Kev Siv Duab Sib Nqus Sib Nqus):Qhov kev kuaj no yog qhov pab tau zoo tshaj plaws hauv kev kuaj mob AS thaum nws tseem ntxov. MRI tsis siv X-rays, tab sis siv lub hlau nplaum loj thiab thev naus laus zis computer los pom tseeb heev sab hauv ntawm lub cev, tshwj xeeb tshaj yog cov nqaij mos thiab cov pob qij txha, qhov twg tuaj yeem o.
- Kev ntsuas ultrasound: Qhov no siv cov suab nthwv dej los tsim cov duab. Qhov no tseem tab tom tshawb nrhiav ua ib txoj hauv kev los kuaj pom AS thaum ntxov.
3. Kev Kuaj Ntshav
Koj tus kws kho mob kuj tseem yuav xaj ntau qhov kev kuaj ntshav, feem ntau yog nrhiav cov cim qhia txog kev o uas tuaj yeem qhia tau tias puas muaj kev o hauv lub cev.
Tsis tas li ntawd xwb, muaj lwm qhov kev kuaj noob caj noob ces tshwj xeeb heev , uas yog kev kuaj rau HLA-B27 gene.
Qhov tseem ceeb yog qhov no: tsuas yog vim koj muaj cov noob HLA-B27 hauv koj lub cev tsis tau txhais hais tias koj muaj AS 100% ntawm lub sijhawm . Tab sis feem ntau ntawm cov neeg uas muaj AS muaj cov noob no. Yog li, yog tias koj muaj cov noob no nrog rau koj cov tsos mob, nws tuaj yeem yog qhov tseem ceeb heev rau koj tus kws kho mob los ua qhov kev kuaj mob.
Yog li koj tuaj yeem pom, kev kuaj mob AS zoo li ua haujlwm ua tus kws tshawb nrhiav. Nws yuav tsum muaj ntau yam pov thawj, tsis yog ib qho pov thawj xwb, thiaj li yuav xaus lus tau zoo.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob Ankylosing Spondylitis (AS) tsis tuaj yeem kuaj tau los ntawm ib qho kev kuaj xwb. Nws yog ib qho txheej txheem ntau kauj ruam.
- Yog tias koj mob nraub qaum thiab mob nqaij txij li thaum koj tseem hluas, tshwj xeeb tshaj yog thaum sawv ntxov, tsis txhob tsis quav ntsej nws li ib yam dab tsi thiab mus ntsib kws kho mob.
- Thaum kuaj pom tus kab mob no sai npaum li cas, kev kho mob yuav ua tau zoo npaum li ntawd.
- Koj tus kws kho mob yuav muab cov ntaub ntawv koj muab, kev kuaj lub cev, kev kuaj duab (X-ray, MRI), thiab kev kuaj ntshav (tshwj xeeb yog HLA-B27) ua ke kom tau txais kev kuaj mob tseeb.
- Tsis txhob txhawj yog tias nws yuav siv sijhawm ntev los kuaj mob. Qhov no yog ib qho mob nyuaj, yog li nws yog ib qho ib txwm muaj rau nws yuav siv sijhawm. Qhov tseem ceeb tshaj plaws yog kom sib txuas lus nrog koj tus kws kho mob thiab ua qhov kev kuaj mob tsim nyog.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus